Clinical Pulmonary Infection Score: Difference between revisions
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+ | !Clinical Sign |
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+ | !Cuttoff |
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+ | ! align="center" |Points |
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+ | |'''Temperature''' |
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+ | |36.5-38.4 |
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+ | | align="center" |0 |
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+ | |38.5-38.9 |
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+ | | align="center" |1 |
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+ | |≥39 or ≤36 |
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+ | | align="center" |2 |
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+ | |'''WBC''' |
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+ | |4-11 |
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+ | | align="center" |0 |
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+ | |<4 or >11 |
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+ | | align="center" |1 |
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+ | |Above plus bands ≥500 |
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+ | | align="center" |2 |
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+ | |'''Tracheal secretions''' |
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+ | |> 14 |
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+ | | align="center" |0 |
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+ | |≥14 |
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+ | | align="center" |1 |
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+ | |≥14 and purulent |
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+ | | align="center" |2 |
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+ | |'''PaO2/FiO2''' |
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+ | |>240 or ARDS |
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+ | | align="center" |0 |
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+ | |≤240 and no ARDS |
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+ | | align="center" |2 |
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+ | |'''CXR''' |
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+ | |No infiltrate |
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+ | | align="center" |0 |
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+ | |Diffuse or patchy |
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+ | | align="center" |1 |
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+ | |Localized |
| − | |align="center" |
+ | | align="center" |2 |
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+ | |'''ETT culture''' |
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+ | |Little or no growth |
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+ | | align="center" |0 |
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+ | |1+ growth |
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+ | | align="center" |1 |
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+ | |Above plus visible on Gram stain |
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+ | | align="center" |2 |
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| − | == |
+ | ==Interpretation== |
| − | * |
+ | *Cutoff ≥7 suggests would benefit from BAL |
| − | * |
+ | *However, poor sensitivity (65%) and specificity (64%) on metanalysis (https://dx.doi.org/10.4187/respcare.01097) |
[[Category:Critical care]] |
[[Category:Critical care]] |
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Revision as of 06:58, 3 August 2020
| Clinical Sign | Cuttoff | Points |
|---|---|---|
| Temperature | 36.5-38.4 | 0 |
| 38.5-38.9 | 1 | |
| ≥39 or ≤36 | 2 | |
| WBC | 4-11 | 0 |
| <4 or >11 | 1 | |
| Above plus bands ≥500 | 2 | |
| Tracheal secretions | > 14 | 0 |
| ≥14 | 1 | |
| ≥14 and purulent | 2 | |
| PaO2/FiO2 | >240 or ARDS | 0 |
| ≤240 and no ARDS | 2 | |
| CXR | No infiltrate | 0 |
| Diffuse or patchy | 1 | |
| Localized | 2 | |
| ETT culture | Little or no growth | 0 |
| 1+ growth | 1 | |
| Above plus visible on Gram stain | 2 |
Interpretation
- Cutoff ≥7 suggests would benefit from BAL
- However, poor sensitivity (65%) and specificity (64%) on metanalysis (https://dx.doi.org/10.4187/respcare.01097)
